ST0701-CN100202limp.
Lacon Company, LLC, General Partner
1880 Crown Road • PC Box 54129 • Dallas, TX 75354 -1297 • (214) 3570146
TO: PacTrust
15350 SIN Sequoia Pkwy, Suite 300
Portland, Oregon 97224
matto @pactrust.com
() - Fax
INTENT OF CHANGE:
n -1.."
CHANGE ORDER REQUEST
DATE:
DESCRIPTION
JOB #:
5262 Southwestern
ATTN:
Matt O en
RE:
SanitarV Sewer Laterals
LOCATION:
Coppell, Texas
C.O. #
2
PAGE #:
1
ITEM
NO.
DESCRIPTION
UNITS
ORIG.
QTY.
REV.
QTY
ORIG, UNIT
PRICE
REV. UNIT
PRICE
TOTAL
COST
ADDITIONAL
CAL DAYS
Aerial Sanitary Crossing Is 0 1 0 $28,500.00 $28,500.00 8
Remove Old Pie
If
170
Sewer By-Pass
Is
1
Construct Pipe Support
ea
1
Install New Pie
If
170
Materials
If
170
Install Pie
If
170
Connect to MIA
ea
2
NET AMOUNT OF THIS CHANGE $ 28,500.00 8
CONDITIONS: The above is based on an email from Mr. Kieth Marvin with the City of Coppell dated January 21, 2010. Upon approved construction
drawings, the above will be adjusted accordingly.
AGREEMENT
All terms, conditions, specifications, etc as outlined in your original contract will apply to this addendum
Your signature in the space provided below will constitute acceptance of this addendum
Please sign and return one copy for our records.
Contractor
L H Lacy o pany, Ltd
BY. G'
Ronald S Murawski
DATE:
1/28/2010
Owner
PacTrust
BY:
DATE.
Douglas McAfee Page 1 1/28/2010